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Organization

DESERT SENITA COMMUNITY HEALTH CENTER

Active
Other names
Desert Senita Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JARED HATCHARD PHARMD (CHIEF PHARMACY OFFICER)
(520) 683-5588
Entity
Organization

Contact information

Practice address
410 N MALACATE ST, AJO, AZ 85321-2254
(520) 387-5500
(520) 387-3977
Mailing address
PO BOX 5653, ARIZONA CITY, AZ 85123-2810
(520) 314-2966
(520) 423-3099

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0002X
Clinic Pharmacy
Y005218
AZ
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2122831
PK
05
486492
AZ
Enumeration date
12/19/2009
Last updated
08/15/2025
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